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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Natural Miscarriage Versus Drugs and / or D and C

10 replies

Kittykatmoll · 12/01/2013 11:27

We found out one week ago that our baby no longer had a heart beat and had either stopped growing at six weeks four days, or, had shrunk back to that size. One week ago our pregnancy was technically nine weeks and two days. I was given the choice of waiting one week to see if a miscarriage happened naturally, being given drugs to bring on a miscarriage, or having a D&C. I chose the option of waiting one week, hoping that a miscarriage would occur naturally. However, a week has gone by, nothing has happened and we're due to see our obstetrician tomorrow, as arranged.

I'd really appreciate the advice and experiences of ladies who've been in this situation, or indeed of anyone who's trained in this area. I saw a nurse at my medical centre this afternoon and she seemed very much of the opinion that going straight for a D&C would be preferable to opting for drugs to induce things.

I really don't know what to do now - whether I should insist on going straight for a D&C, or, whether I should try the drugs first.

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Littlemissexpecting · 12/01/2013 12:16

I have had 3 mcs. 1 ended naturally and the other 2 an erpc which is similar to D&C.
I chose surgery instead of medication as they say the medication can cause terrible period likes pains and heavy bleeding. I also wanted it over with. As you have been waiting a week I bet your fed up waiting so I would recommend going for the D&C.
Sorry your going through this.

Kittykatmoll · 12/01/2013 12:29

I'm so, so sorry that you had to go through that Littlemissexpecting.

Thank you for taking the time to reply to my post, I really appreciate you doing so.

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SophieBirkBirk · 12/01/2013 13:38

I've had 3 miscarriages.
2 D&C's after my first at 23 weeks due to retained products.
Then had a natural miscarriage-7 weeks.
Last month decided to have a D&C after baby didn't come naturally for 2 weeks.

I think my D&C's were better than natural. it gets it over and done with, also you hardly bleed after. I havent bled at all since mine.

Yiu only get light cramps after D&C, after the pill you take i heard it can be heavy cramps and heavier than period bleed.

Do whats best for you. X

lurcherlover · 12/01/2013 13:49

Sorry you are going through this op. I opted for surgical management (although it's called d&c it's actually an ERPC, which is a very slightly different procedure). It's over quickly and I think for me it was the least traumatic option. I conceived again 2 months later and am now 26 weeks with a healthy baby, and you have every chance of the same.

dontmixthecolours · 12/01/2013 13:57

I'm so sorry this is happening to you kitty.

I've had 4 m/c's. 3 early and one at 20 weeks. I had a d&c with all of the early ones. I can honestly say I didn't have any physical problems at all after them. It 'gets it over with' physically. IMO it makes it a tiny bit easier and as lurches says is less traumatic.

Please take care of yourself and keep posting. There are lovely people on here who are so supportive

backwardpossom · 12/01/2013 16:35

Just to give the opposite side, I had medical management of my mmc and it was fine. The only time I got any cramping was when I passed the 'products'. I didn't find the pain too bad, nothing a hot water bottle and a couple of paracetamol couldn't deal with.

Sorry you're going through it, too. :(

grainmum · 12/01/2013 20:10

So sorry. I had mmc in July at similar stage and had medical management too. The bleeding was no worse than a period and the worst pain was after the essay, I think it kicked in before the diclofenac so I'd suggest taking something at home before you go in - just tell the nurses what it was and what time. I think I would have felt weird if I'd been put to sleep and just woke up when it was over. For me physically going through it helped.

The miscarriage association website has useful information on specifics.

DreamingOfTheMaldives · 12/01/2013 21:11

So sorry you're going through this Op.

I had an ERPC in September and when I came round I had mild cramps for probably an hour or so and that was it. I then had just a little bleeding a couple of days later. I did think I had an infection as I had a temperature and felt a bit poorly a couple of days later so was put on antibiotics as a precaution but a swab came back clear so it obviously wasn't an infection as a result of the miscarriage or ERPC, was just a bit under the weather.

I got my period 4 weeks after the ERPC and fell pregnant in November. I am now almost 8 weeks pregnant.

If I was unfortunate enough to have a miscarriage in the future I would certainly opt for the ERPC again. Having the procedure just meant it was over with and I could begin to try and move on.

elliejjtiny · 13/01/2013 00:46

So sorry to hear about your baby.

I've had 1 natural and one surgical miscarriage. The natural one was when I was 12 weeks but baby was only 6 weeks. The pain and bleeding was horrendous but I was further on than you which makes a difference. I did feel like I'd had a birth though which I found quite healing. I also had a follow up scan to check the miscarriage was complete and I could ask questions.

Surgical was very civilised, most painful thing was the canula. I was 13 weeks and baby was 9 weeks this time. No follow up appointment so some unanswered questions.

I think at your gestation I would pick the surgical option. Make sure you rest afterwards even if you feel fine as this helps reduce bleeding time.

Kittykatmoll · 29/01/2013 18:55

Thank you all so much for taking the time to reply to my post. Elliejjtiny, DreamingOfTheMaldives, Grainmum, backwardpossom, dontmixthecolours, lurcherlover and SophieBirkBirk, I am so very sorry to read of your losses and my heart goes out to you.

This is the first time I've been back on Mumsnet since I last posted because it's taken me a while to be able to talk and write about losing our baby without becoming distressed.

In the end I decided to opt for being given suppositories, which didn't work, followed by four lots of drugs orally, which didn't work either and after 29 hours I was taken to theatre for a D&C. If I was unlucky enough to find myself in this situation again I would opt for going straight to the D&C.

My husband and I live/work in the Middle East and the manner in which I was treated whilst in the hospital was degrading, disrespectful and dehumanising. We've drafted a letter of complaint to the appropriate hospital departments, however, we've been advised by our equivalent of a GPs' surgery, that lodging such a complaint is absolutely pointless. Apparently others who've complained, including the GPs themselves, have received absolutely no response or acknowledgement whatsoever!

Along with being made to wait the best part of an hour for pain relief on three occasions, despite the fact the medication had been written up for me by my obstetrician in advance, I was also left in stirrups in the operating theatre, before I was anesthetised, completely uncovered, with my private parts exposed to every person who walked past the open OT door. This went on for some time while the anesthetist and two nurses argued over me about whether I should or shouldn't have my legs in the stirrups before/after I was anesthetised. They were also arguing about whether I should be given a GA or conscious sedation. In addition to this, several of the nurses who 'cared' for me on the ward clearly had a serious aversion to even a small amount of blood and became incredibly panicked whenever they happened across any. One even asked me, 'Why are you bleeding so much?', which was unbelievable, but, not as unbelievable as the nurse who asked me, 'Are you pregnant?', or, the nurse who asked me, 'Where are all you children, are they at school?' and THEN TOLD ME OFF (!) for crying as I explained I had no children and my baby was dead inside me.

My husband and I attended our follow-up appointment and scan with our obstetrician a few days ago and formally complained to him regarding all of the above. He apologised and promised he would address all of the issues I'd encountered. However, we're now looking for a new obstetrician because there were pieces of advice he imparted that were laughable at best and downright negligent at worst. After advising me not to get pregnant until I'd had three periods, he told us to use a condom or the withdrawal method!! I asked him to clarify what he meant by the 'Withdrawal Method' and after it was patently clear that he meant what I thought he'd meant, I told him that it most definitely was not a form of reliable contraception. His reply was that it would work if we were determined enough and that we should trust in Allah. As my husband and I are both Atheists, with much more than a basic comprehension of anatomy and physiology, we were less than impressed. He was also unable to explain exactly why we need to wait for three periods before we try to conceive again.

All in all losing a baby was hard enough without all of the above and I'm now more than a little apprehensive about the thought of having a baby here in Saudi Arabia in the future, should we be lucky enough to conceive again. I had endometriosis for 22 years before it was diagnosed and I received any treatment to help preserve my fertility. If one more health 'professional' out here erroneously tells me that having a baby will cure my endometriosis, I will not be responsible for my actions!

Thank you for reading if you've made it this far. It's good to know that there are other women on here who truly understand.

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